NURS 5334 ADVANCED HEALTH
ASSESSMENT TEST 3 QUESTIONS AND
ANSWERS
1. When assessing the cranial nerves, the nurse practitioner asks the patient to stick out their
tongue. The tongue deviates to the right side. Which cranial nerve is likely affected?
A. Cranial Nerve IX (Glossopharyngeal)
B. Cranial Nerve XII (Hypoglossal)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve XI (Spinal Accessory)
Answer: B
Conceptual Explanation: Cranial nerve XII (Hypoglossal) controls tongue movement.
When damaged, the tongue deviates toward the side of the lesion.
2. A 24-year-old male presents with sudden onset of severe scrotal pain and nausea. On
examination, the NP finds the left testis is high-riding and the cremasteric reflex is absent.
What is the priority management?
A. Prescribe oral antibiotics for epididymitis
,B. Advise bed rest and scrotal elevation (Prehn’s sign)
C. Perform transillumination to rule out a hydrocele
D. Order a scrotal ultrasound and consult surgery immediately
Answer: D
Conceptual Explanation: The clinical presentation suggests testicular torsion, a surgical
emergency. The absence of the cremasteric reflex is a highly sensitive finding for torsion.
3. During a musculoskeletal exam, the NP performs the McMurray test. A click and popping
sound are felt along the medial joint line. This is indicative of:
A. Anterior cruciate ligament tear
B. Medial collateral ligament strain
C. Patellofemoral syndrome
D. Medial meniscus tear
Answer: D
Conceptual Explanation: A positive McMurray test, indicated by a click or pop during
rotation and extension of the knee, suggests a meniscus injury.
4. Which of the following findings is considered normal when assessing the plantar reflex
(Babinski) in a healthy 35-year-old adult?
A. Absence of any movement
B. Dorsiflexion of the big toe with fanning of other toes
, C. Plantar flexion of the toes
D. Flexion of the hip and knee
Answer: C
Conceptual Explanation: In adults, the normal response to the Babinski test is plantar
flexion. Dorsiflexion (a positive Babinski sign) is normal in infants but indicates upper
motor neuron disease in adults.
5. A patient presents with ‘bony’ enlargements on the distal interphalangeal (DIP) joints of
the fingers. These are documented as:
A. Bouchard’s nodes
B. Haygarth’s nodes
C. Rheumatoid nodules
D. Heberden’s nodes
Answer: D
Conceptual Explanation: Heberden’s nodes occur at the DIP joints in osteoarthritis,
whereas Bouchard’s nodes occur at the PIP joints.
6. To assess the L4 dermatome, the NP should test sensation at the:
A. Dorsum of the foot
B. Medial malleolus
C. Lateral malleolus
ASSESSMENT TEST 3 QUESTIONS AND
ANSWERS
1. When assessing the cranial nerves, the nurse practitioner asks the patient to stick out their
tongue. The tongue deviates to the right side. Which cranial nerve is likely affected?
A. Cranial Nerve IX (Glossopharyngeal)
B. Cranial Nerve XII (Hypoglossal)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve XI (Spinal Accessory)
Answer: B
Conceptual Explanation: Cranial nerve XII (Hypoglossal) controls tongue movement.
When damaged, the tongue deviates toward the side of the lesion.
2. A 24-year-old male presents with sudden onset of severe scrotal pain and nausea. On
examination, the NP finds the left testis is high-riding and the cremasteric reflex is absent.
What is the priority management?
A. Prescribe oral antibiotics for epididymitis
,B. Advise bed rest and scrotal elevation (Prehn’s sign)
C. Perform transillumination to rule out a hydrocele
D. Order a scrotal ultrasound and consult surgery immediately
Answer: D
Conceptual Explanation: The clinical presentation suggests testicular torsion, a surgical
emergency. The absence of the cremasteric reflex is a highly sensitive finding for torsion.
3. During a musculoskeletal exam, the NP performs the McMurray test. A click and popping
sound are felt along the medial joint line. This is indicative of:
A. Anterior cruciate ligament tear
B. Medial collateral ligament strain
C. Patellofemoral syndrome
D. Medial meniscus tear
Answer: D
Conceptual Explanation: A positive McMurray test, indicated by a click or pop during
rotation and extension of the knee, suggests a meniscus injury.
4. Which of the following findings is considered normal when assessing the plantar reflex
(Babinski) in a healthy 35-year-old adult?
A. Absence of any movement
B. Dorsiflexion of the big toe with fanning of other toes
, C. Plantar flexion of the toes
D. Flexion of the hip and knee
Answer: C
Conceptual Explanation: In adults, the normal response to the Babinski test is plantar
flexion. Dorsiflexion (a positive Babinski sign) is normal in infants but indicates upper
motor neuron disease in adults.
5. A patient presents with ‘bony’ enlargements on the distal interphalangeal (DIP) joints of
the fingers. These are documented as:
A. Bouchard’s nodes
B. Haygarth’s nodes
C. Rheumatoid nodules
D. Heberden’s nodes
Answer: D
Conceptual Explanation: Heberden’s nodes occur at the DIP joints in osteoarthritis,
whereas Bouchard’s nodes occur at the PIP joints.
6. To assess the L4 dermatome, the NP should test sensation at the:
A. Dorsum of the foot
B. Medial malleolus
C. Lateral malleolus
